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50 notecards = 13 pages (4 cards per page)

Viewing:

Physical Examination of Urine

front 1

urochrome

back 1

lipid-soluble pigment in plasma excreted at a constant rate in urine; gives urine the characteristic yellow color

front 2

urobilin

back 2

orange-brown pigment

front 3

uroerythrin

back 3

pink pigment; evident when deposited on rate crystals producing a precipitate often described as brick dust

front 4

amount of substance present, urine pH, and structural form of substance

back 4

factors of substances that can change the color of urine

front 5

brown urine

back 5

can indicate presence of blood, hemoglobin, or myoglobin in a fresh specimen

front 6

brown or black urine

back 6

as red blood cells disintegrate, hemoglobin is released and oxidizes to methemoglobin

front 7

bilirubin

back 7

by-product of hemoglobin catabolism and has characteristic yellow color

front 8

amber

back 8

indicates presence of significant bilirubin

front 9

greenish color

back 9

indicates improperly stored urine where bilirubin has oxidized to biliverdin

front 10

orange-brown

back 10

indicates urobilinogen oxidized to urobilin

front 11

phenazopyridine

back 11

drug used to treat UTI's that gives distinct yellow-orange (orange soda) color and may interfere with color interpretation on chemical reagent strip

front 12

white foam

back 12

indicates large amounts of albumin in urine

front 13

yellow foam

back 13

caused by increased bilirubin

front 14

clarity or turbidity

back 14

Describes cloudiness of urine caused by suspended particulate matter that scatters light

front 15

clear

back 15

no or rare visible particles; transparent; all solutes present are soluble

front 16

hazy or slightly cloudy

back 16

visible particles present; newsprint can be read when viewed through urine tube; indicates presence of blood cells or contaminants

front 17

cloudy

back 17

significant particulate matter; newsprint is blurred or difficult to read when viewed through urine tube; indicates crystals, epithelial cells, fats, microbes, or contaminants

front 18

turbid

back 18

newsprint cannot be seen when viewed through urine tube; indicates mucus, contrast media, semen, or contaminants

front 19

amorphous phosphates

back 19

alkaline urine that produces a white or beige precipitate

front 20

amorphous urates and uric acid crystals

back 20

acidic urine producing a pinkish precipitate (brick dust)

front 21

ammonia

back 21

converted from urea due to bacteria from standing urine

front 22

ketones

back 22

produce sweet or fruity smell of urine

front 23

amino acid disorders

back 23

often produce odd odors

front 24

concentration

back 24

refers to the quantity of solutes present in volume of water excreted

front 25

94%

back 25

percentage of water in urine

front 26

6%

back 26

percentage of solutes in urine

front 27

diet, physical activity and health

back 27

factors that cause variety in solute types

front 28

specific gravity

back 28

rapid assessment of urine concentration in terms of density; mass solutes present per volume of solution; considers both number of solute particles and their molecular size

front 29

osmolality

back 29

used for more accurate assessment of urine concentration; considers only solutes present

front 30

1.002

back 30

lowest possible specific gravity

front 31

1.040

back 31

highest possible specific gravity

front 32

refractometry and reagent strips

back 32

the two indirect methods of specific gravity measurement

front 33

refractive index

back 33

the ratio of light refraction in two differing media

front 34

refractometry

back 34

indirect method of measuring specific gravity based on refractive index of light

front 35

wavelength of light, temperature of solution, and concentration of solution

back 35

the three factors that affect the refractive index of a solution

front 36

1.022

back 36

specific gravity of NaCl

front 37

protein and glucose

back 37

two solutes also included in specific gravity

front 38

glucose, urea, protein, and radiographic media

back 38

nonionic solutes not measured in reagent strip method

front 39

reagent strip method

back 39

indirect colorimetric estimation of urine density based on amount of ionic or charged solutes present

front 40

protons

back 40

Release changes pH of test pad, resulting in a color change of reagent strip pad

front 41

radiographic contrast media

back 41

suspected if refractometer reads >1.040, but reagent strip reads normal

front 42

275-300 mOsm/kg

back 42

normal serum osmo reference range

front 43

275-900 mOsm/kg

back 43

normal urine osmo reference range

front 44

milliosmoles (mOsm/kg)

back 44

units of measurement for osmolality

front 45

evaluate renal system, monitor renal disease, monitor fluid and electrolyte balance, and diagnose polyuria cuases

back 45

the four principal uses of osmolality

front 46

600-1800 mL/day

back 46

normal urinary output per day

front 47

isothenuria

back 47

inability of kidneys to change specific gravity of plasma ultra filtrate (1.010) whether hydrated or dehydrated

front 48

polyuria

back 48

excretion of greater than 3L/day

front 49

oliguria

back 49

excretion of less than 400 mL/day

front 50

anuria

back 50

complete lack of urine excretion